HomeMy WebLinkAbout04-0425Form 668 (Y)(c)
(Rev. October 2000)
Area: Serial Number
SMALL BUSINESS/SELF EMPLOYED AREA #3
Lien Unit Phone: (412) 395-5265 151406004
As provided by section 6321, 6322, and 6323 of the Internal Revenue
Code, we are giving a notice that taxes (including Interest and penalties)
have been assessed against the following-named taxpayer. We have made
a demand for payment of Chis liability, but it remains unpaid. Therefore,
there is a lien in favor of the United States on all property and rights to
property belonging to this taxpayer for the amount of these taxes, and
additional penalties, interest, and costs that may accrue.
Name of Taxpayer DANIEL L HATTER
Residence
1442
Department of the Treasury - Internal Revenue Service
Notice of Federal Tax Lien
7G. o ,/. Y,~ ~' ,cT/..
For Optional Use by Recording Office
3101 COLUMBIA AVE
CAMP HILL, PA 17011-5223
IIffPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of the lien is refiled by the date given in column (e), this notice shall,
on the day following such date, operate as a certificate of release as defined
in IRC 6325(a).
Tax Period Date of Last Day for
IOnd of Tax Ending Identifying Number Assessment Retiring
(a) (b) (c) (d) (e)
941 09/30/2003 25-1656603 12/15/2003 01/14/2014
Unpaid Balance
of Assessment
(f)
4601.10
Place of Filing
Prothonotary
Cumberland County
Carlisle, PA 17013
Total $ 4601.10
This notice was prepared and signed at
PHILADELPHIA, PA
, on this,
the 13th day of January 2004
Sign~'~ure Title
D~[f][~ZSHEi~~ ~ [~.."r2.,~-~--. REVENUE OFFICER 23-11-1439
..... ~'~ ~"-~'~" (717) 221-3490
(~O~: Certificate of officer authorized by ~aw to take acknowledgment is not essentlaJ to the validity of Notice of gederal Tax
Rev. RuL 71-46~, 1971 - 2 C.8. 409) Form ~68(~)(() (Rev. 10-O0}
Pa~ ] = Kept By Recording ~ce CAT. NO 60025X